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Event Sponsorship

Event
Full Name

First Name Last Name
E-mail
Phone Number

Area Code Phone Number
Total

$0.00

Payment

Credit Card

Credit Card Type
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

All contributions are tax deductible under IRS 501(C)3 – Tax ID # 20-4963466
Should be Empty:

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